Jefferson Hospital Association, Walter Johnson, David Nixon, and Federal Insurance Company v. Lee Davis, M.D.

2020 Ark. App. 562, 615 S.W.3d 400
CourtCourt of Appeals of Arkansas
DecidedDecember 9, 2020
StatusPublished
Cited by1 cases

This text of 2020 Ark. App. 562 (Jefferson Hospital Association, Walter Johnson, David Nixon, and Federal Insurance Company v. Lee Davis, M.D.) is published on Counsel Stack Legal Research, covering Court of Appeals of Arkansas primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Jefferson Hospital Association, Walter Johnson, David Nixon, and Federal Insurance Company v. Lee Davis, M.D., 2020 Ark. App. 562, 615 S.W.3d 400 (Ark. Ct. App. 2020).

Opinion

Reason: I attest to the accuracy Cite as 2020 Ark. App. 562 and integrity of this document Date: 2021-08-23 13:27:53 Foxit PhantomPDF Version: ARKANSAS COURT OF APPEALS 9.7.5 DIVISION IV No. CV-18-1047

JEFFERSON HOSPITAL ASSOCIATION, Opinion Delivered: December 9, 2020 WALTER JOHNSON, DAVID NIXON, AND FEDERAL INSURANCE COMPANY APPEAL FROM THE JEFFERSON COUNTY CIRCUIT COURT APPELLANTS [NO. 35CV-17-16]

V. HONORABLE ALEX GUYNN, LEE DAVIS, M.D. JUDGE APPELLEE REVERSED AND REMANDED

PHILLIP T. WHITEAKER, Judge

The appellants, Jefferson Hospital Association (JRMC), Walter Johnson, Dr. David

Nixon, and the Federal Insurance Company, bring this interlocutory appeal from the

Jefferson County Circuit Court’s order striking their answer to the complaint filed by the

appellee, Dr. Lee Davis, in a retaliation lawsuit. Our jurisdiction is pursuant to Ark. R. App.

P.–Civ. 2(a)(4). For the reasons set forth in this opinion, we reverse and remand.

I. Factual Background

Dr. Davis practices internal medicine and cardiology in Jefferson County. He was on

the medical staff at JRMC from 2003 until 2008 when his medical privileges and staff

appointment were revoked by JRMC. As a result of this revocation, Dr. Davis filed both a federal lawsuit and a state lawsuit against JRMC and several doctors on staff at the hospital.1

In his federal court litigation, Dr. Davis alleged that the revocation of his privileges was

racially discriminatory2 and violated due process, among other claims. In his state court

litigation, Dr. Davis alleged that the revocation of his privileges constituted tortious

interference with his business expectancy with patients, other physicians, and insurance

companies.

In addition to the above-referenced litigation, and pursuant to a JRMC policy, Dr.

Davis began the process of reapplying for medical privileges in 2013. JRMC allowed a

physician whose privileges had been revoked to apply for reinstatement at least five years

after revocation in a two-phase process. The first phase of the process was the

“preapplication phase” and the second phase was the “application phase.”

In the “preapplication phase,” Dr. Davis initiated contact with JRMC seeking

reinstatement of privileges. JRMC began to communicate with Dr. Davis to ascertain if he

met threshold criteria before the hospital agreed to forward him an application for

credentials. After several months of back-and-forth communication, JRMC denied Dr.

Davis’s request for an application. In a letter dated January 24, 2014, appellant Walter

Johnson, the chief executive officer at JRMC, explained that “an application for

appointment will only be sent to individuals who, according to the Medical Staff Bylaws

and the Credentialing Policy, meet threshold criteria for appointment and clinical privilege

1 Dr. Davis filed his federal lawsuit in 2009 and his state lawsuit in 2013. The disposition of these proceedings is not pertinent to this opinion. 2 Dr. Davis is African American.

2 consideration.” JRMC policy required that the applicant “was in active practice, in the

specialty in which he is requesting privileges, for at least two of the four years preceding

application.” JRMC policy also defined an “active practice” as participating in call duties,

serving on hospital and medical-staff committees, and demonstrating competence “that

would be expected to provide quality care to patients in the hospital, including the

emergency department.” From material provided by Dr. Davis, JRMC determined that Dr.

Davis did not meet the threshold criteria of having an “active practice.” Mr. Johnson told

Dr. Davis that “based on that information, and in light of the fact that your privileges were

previously revoked in part because of serious quality concerns, you are not able to document

a threshold level of demonstrated competence that would be expected for quality care at

JRMC.” Mr. Johnson’s letter then concluded with the following paragraph:

Under the Bylaws, another basic qualification for active physicians at JRMC is a demonstrated willingness and capability, based on current attitude and evidence of past performance, to work with and relate harmoniously to other staff appointees, hospital administration, and hospital employees in the cooperative, professional manner that is essential for maintaining a hospital environment appropriate to quality patient care. While your correspondence during this pre-application process has been civil on its face, it emerged in November that during the entire process, you were pursuing a $35,000,000 lawsuit against the hospital and several of its physicians. The lawsuit was filed on July 12, 2013, three days after you requested an application, but you never mentioned it or otherwise provided notice to the hospital. Rather, the Complaint was served in early November, when the service deadline was imminent, at which point Dr. Nixon [chair of the credentialing committee] mentioned it to you in his letter of December 11, 2013. I am aware that you have filed a motion to dismiss the lawsuit, which is based on claims that were previously dismissed in federal court. However, I note that you only asked the court to dismiss the complaint without prejudice, which if granted means you would be able to re-file the lawsuit within one year. Regardless of what the court decides, the fact is that with one hand you have engaged in the pre-application process with JRMC, professing good faith and cooperation, while with the other hand surreptitiously suing the hospital and members of its staff. This objectively demonstrates a lack of willingness or capability to work with and relate harmoniously to the hospital and members of its staff.

3 Subsequently, Dr. Davis filed lawsuits. He filed in the federal court alleging that

JRMC’s refusal to allow him to reapply for medical privileges constituted unlawful

retaliation under 42 U.S.C. § 1981. The federal lawsuit ultimately was dismissed. Following

the dismissal of his federal lawsuit, Dr. Davis filed the cause of action leading to this appeal,

alleging JRMC’s refusal to allow him to reapply for medical privileges constituted unlawful

retaliation under Arkansas Code Annotated section 16-123-108 (Supp. 2019).

II. Procedural Background

The timing and sequence of events between the parties is important in this appeal.

Dr. Davis filed his complaint on January 13, 2017, just days before the statute of limitations

expired. Dr. Davis named Mr. Johnson; JRMC; and Dr. Nixon, the medical director of

credentialing at JRMC, as defendants. Additionally, for the purpose of tolling the statute of

limitations, Dr. Davis sued twenty fictitious defendants alleging that John Doe 1 was

JRMC’s insurance company (as yet unknown) and John Does 2–20 were “persons or entities

who participated in the decision to deny [Davis] an application for credentials.” Along with

the complaint, Davis’s counsel filed an affidavit intended to comply with Arkansas Code

Annotated section 16-56-125(c) (Repl. 2005) (“It shall be necessary for the plaintiff or

plaintiff’s attorney to file with the complaint an affidavit that the identity of the tortfeasor is

unknown before [tolling] shall apply.”).

Davis contemporaneously propounded interrogatories to the named defendants:

JRMC, Mr. Johnson, and Dr. Nixon. Interrogatory No. 1 requested that the defendants

“identify . . .

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2020 Ark. App. 562, 615 S.W.3d 400, Counsel Stack Legal Research, https://law.counselstack.com/opinion/jefferson-hospital-association-walter-johnson-david-nixon-and-federal-arkctapp-2020.